Market Director Quality - Puget Sound

Within the role of Market Director, the incumbent provides leadership in defining, implementing and
integrating quality, safety, service and efficiency strategies into the plans, policies, and organizational processes
that affect the organization’s operations and strategic direction in the overall management of the Market.
Collaborates with other leadership team members in the common goal of standardization, integration and
enhancement of the continuum of services available within the market’s designated clinical area(s). Supports
the individual care sites within the Markets’ Performance Improvement Plans, which identify opportunities for
improved patient care and outcomes and reductions in harm, with the implementation of evidence-based
practices. Supports the regional Director of Patient Safety with the implementation of high reliability
organizational processes within the Market. Oversees implementation and maintenance of system, regional
and market standards for quality, performance improvement, peer review, and regulatory compliance across
the continuum. Provides reporting as directed within the Market to the Community, Fiduciary, Hospital, JOA
and other relevant governance Boards with delegated authority over patient care, quality and patient safety.

Key Responsibilities:
● Provides leadership oversight and direction to the Market’s quality hospital leaders.
● Collaborates with leaders responsible for centralized services (e.g. Home Health, Living Communities,
Physician Enterprise) to develop and implement an integrated, standard approach to quality across the
Market’s care continuum.
● Supports the quality and patient safety committee(s) and improvement structure in the market and
care sites.
● Serves as a member or quality liaison to community partners and / or Joint Venture partners within
the market service area.
● Collaborates in the establishment of performance improvement goals annually with relevant
stakeholders. Develops and implements processes and formats which support data collection,
aggregation, analysis, and action planning. Assures clinical data is managed appropriately and
disseminated to appropriate leadership staff.
● Provides leadership, direction and support in conjunction with the Regional Vice President of Quality
and Patient Safety and the Director of Patient Safety of the development, implementation, oversight
and maintenance of quality outcomes and goals across the continuum.
● Collaborates with Managed Care leaders for pay for performance measures specific to the Market.
● Participates in national office and the regional initiatives and programs to mitigate risks in the market
which have been identified at other healthcare facilities, resulting in reduced costs, a decrease in
adverse patient events/outcomes and ultimately safer patient practices and care.
● Facilitates the advancement of High Reliability Organizational work and patient safety efforts.
● Collaborates with the Medical Staff and Regional/Organizational Leadership to develop and enhance
safe patient care while achieving optimal outcomes, including the Market’s peer review program and
ongoing and focused practitioner evaluation.
● Has a matrix accountability relationship with the Market Chief Medical Officer.

Required Education and Experience:

• Bachelors of Science Degree or Equivalent in a
  related clinical discipline; Master’s Degree
  Preferred.
• Minimum of 5 of healthcare experience with
  progressive management responsibility in an acute
  care setting including leading quality.
• Experience leading quality, safety and performance
  improvement initiatives across the care continuum
  and a integrated delivery network.
• Experience developing and implementing clinical,
  service and operational process improvementSave
  initiatives, both small and large scale.
• Experience in a matrix management environment
  involving integration of multiple entities is strongly
  desired.

Required Licensure / Certification:

• Certified Professional in Healthcare Quality (CPHQ) or
  Healthcare Quality and Management Certification (HCQM),
  or Certificate of Quality and Patient Safety (CPQPS) is
  required within two years of hire.

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.

Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.

Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.

We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.